Individual
RALPH W MAYNARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
124 CEDAR VALLEY RD, HUDSON, NC 28638-2507
(828) 728-5322
(828) 728-6332
Mailing address
124 CEDAR VALLEY RD, HUDSON, NC 28638-2507
(828) 728-5322
(828) 728-6332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1153
NC
152W00000X
Optometrist
778
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909561
—
NC
Enumeration date
02/06/2006
Last updated
03/04/2020
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